198018079-4-11-2023-54-CC-FWHE-CQSRKW-20230411130612

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018079
Report Date: 04/11/2023
Date Signed: 04/11/2023 01:06:44 PM

Document Has Been Signed on 04/11/2023 01:06 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	SANDERS FAMILY CHILD CARE		FACILITY NUMBER:	198018079
ADMINISTRATOR:	SANDERS, SHARON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 854-2056
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90003
CAPACITY:	14	CENSUS: 6	DATE:	04/11/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Sharon Sanders		TIME COMPLETED:	01:25 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPAs) Franchesca White and Katrina Chicote arrived at the above listed facility at 10:00 a.m. We were greeted by Licensee Sharon Sanders, and upon entry of the home, LPA White provided Licensee Sanders with the entrance checklist and explained the purpose of the visit. Licensee gave LPAS tour of the facility and gave us files to check the background clearance of present staff. All staff are cleared and associated to the facility. Facility is a single family home located in the rear of the property. Home has a living room, kitchen, two bedrooms, and one bathroom. Upon entry of the home LPAS observed 4 preschoolers and 1 infant totaling 5 children in care with three additional staff members. Parent board had facility license, personal rights, parent's rights posted in the main care area (living room) of the home. Living room has age appropriate toys, and educational posters posted around the walls. A carpet covering the hardwood floors for children to sit. There are cubbies for the children's items. Main area is clean and all furniture and equipment are in good repair. At 10:10 a.m. LPAS observed Bedroom 1 and has a changing table, and cots and sheets for the children in care. In the hallway there is a smoke / carbon monoxide detector that was tested and operable at time of inspection. LPAS observed Bedroom 2 as the LIcensee's bedroom. It is off limits to children. At 10:15 a.m. LPAS observed the bathroom to have one working toliet and sink with stepping stool, soap, and paper towels . Cabinets have child-proof locks, and no visible cleaning products in view. At 10:25 a.m. observed five children seated at kidney table engaged in an activity with Staff 1 (S1), and an infant receiving care from Staff 2 (S2). Earthquake Preparedness , Emergency Disaster Plan and Fire Drill log was posted. The most recent Fire Drill was conducted on April 7, 2023. The fire extinguisher was green with receipt dated 10/2021. Cleaning solutions are locked in a cabinet under the sink inaccessible to children in care. Licensee's medications are locked above the sink in a cabinet inaccessible to children in care. Page 1 of 2

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SANDERS FAMILY CHILD CARE	FACILITY NUMBER: 198018079
	VISIT DATE: 04/11/2023

NARRATIVE

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At 11: 15 a.m. LPAS observed that Infant Log sheets were up to date at time of inspection. Facility is open for overnight care. LPAs discussed overnight procedures and Safe Sleep with Licensee. Licensee understands that she can not provide care for longer than 24 hours.

At 11: 30 a.m. Staff records were reviewed. The Licensee has current Pediatric First Aid and CPR valid until 08/2023. Proof of immunization records and proof of immunization against influenza or a written declination were not present in files for S1 and S3. The Licensee has also taken the AB1207 Mandated Reporter Training is expired as of 12/9/2019, LPA discussed and provided information for this training with Licensee. Mandated Reported Training missing for S1 and S3.

At 11:50 a.m. Children's files were reviewed. C3 files were missing the Immunization record. All other files were found to be in order.

Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises. LPAs did not observe any bodies of water around the premises or weapons/firearms at time of inspection.

Based of this information, the following deficiencies on the attached LIC 809 are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children's health and safety. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with the Licensee, Sharon Sanders.

Page 2 of 2

End of Report

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

LIC809 (FAS) - (06/04)

Page: 2 of 7

Document Has Been Signed on 04/11/2023 01:06 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SANDERS FAMILY CHILD CARE	FACILITY NUMBER: 198018079
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/11/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above for the fire extinguisher not having proof of purchase within the year or a service tag which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/11/2023
	Plan of Correction
1 2 3 4	You are going to send proof of purchase for the fire extinguisher to LPA White by May 11, 2023.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

LIC809 (FAS) - (06/04)

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